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What causes hot flushes while suffering from elevated TSH levels?

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Posted on Wed, 25 May 2016
Question: Can a TSH of 12 cause increase temperature on the face( flushing) and head area as well as flushing on the upper chest
T4 (12)......T3(4.8).....Rt3(14)
ATG 420
ATPO 290
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Answered by Dr. Shehzad Topiwala (7 hours later)
Brief Answer:
Hypothyroidism

Detailed Answer:
Generally such symptoms are not known to occur in individuals with a TSH of 12.
On the contrary, those with untreated or inadequately treated hypothyroidism have sensitivity to cold ie they feel colder than usual and colder than others.

Your thyroid auto antibodies (ATG and ATPO) appear to be positive implying that you have a permanently under-active thyroid which will require treatment with a medication called levo thyroxine typically for life.

Discuss your TSH target with your endocrinologist in-person. Moreover, other reasons for your symptoms need to be explored.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shehzad Topiwala (1 hour later)
My T4 and T3 and RT3 are in normal range. Why do you consider my thyroid under-active
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Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
TSH is considered the best indicator of thyroid function.

So even though your T4 and T3 are normal, it still indicates a milder degree of under-activity of the thyroid gland.

Moreover, nowadays Free T4 is preferred over Total T3 and Total T4 for various reasons.

RT3 is ot appropriate for use in this situation.

Thyroid experts do not recommend the use of this test in the management of hypothyroidism
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What causes hot flushes while suffering from elevated TSH levels?

Brief Answer: Hypothyroidism Detailed Answer: Generally such symptoms are not known to occur in individuals with a TSH of 12. On the contrary, those with untreated or inadequately treated hypothyroidism have sensitivity to cold ie they feel colder than usual and colder than others. Your thyroid auto antibodies (ATG and ATPO) appear to be positive implying that you have a permanently under-active thyroid which will require treatment with a medication called levo thyroxine typically for life. Discuss your TSH target with your endocrinologist in-person. Moreover, other reasons for your symptoms need to be explored. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) 25 hydroxy Vitamin D None of these tests require any fasting and can be done at any time of the day